Provider Demographics
NPI:1417327982
Name:WILLIAM A. HAMILTON, MD
Entity Type:Organization
Organization Name:WILLIAM A. HAMILTON, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ANDERSON
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-373-4700
Mailing Address - Street 1:619 JEFFERSON DAVIS HWY STE 101
Mailing Address - Street 2:619 JEFFERSON DAVIS HWY, SUITE 101
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-4437
Mailing Address - Country:US
Mailing Address - Phone:540-373-4700
Mailing Address - Fax:
Practice Address - Street 1:619 JEFFERSON DAVIS HWY STE 101
Practice Address - Street 2:619 JEFFERSON DAVIS HWY, SUITE 101
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4437
Practice Address - Country:US
Practice Address - Phone:540-373-4700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WILLIAM A. HAMILTON, MD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-09-28
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101053063207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG18730Medicare UPIN